PROPHYLAXIS OF SKIN DISEASES IN WORKERS OF THE PRODUCTION OF SECONDARY PRECIOUS METALS
Introduction. The production of secondary precious metals is one of the most important and promising directions for the development of the metallurgical industry with its own specifics of technological processes and, accordingly, working conditions. The purpose of the research is to scientifically substantiate and develop a complex of hygienic and therapeutic and preventive measures to reduce the risk of skin diseases in workers of secondary precious metals. Material and methods. As an object of research, the workers of the enterprise JSC “Shchelkovsky plant of secondary precious metals” were chosen. To assess the occupational health risk, the main provisions of the “Methods of calculating individual occupational risk depending on working conditions and the state of worker’s health” were used. To assess the clinical effectiveness of the use of emollients in the prevention of chronic allergic dermatoses in workers, the patients were examined and the dermatological indices EASI (Eczema area and severity index), VAS (Visual analog scale), DLQI (Dermatology life quality index) were calculated. Results. The index of the individual occupational risk (IOR) for the main professions of refining precious metals amounts to from 0.56 to 0.79, which refers to a very high risk with the leading unfavorable chemical production factor - with a share contribution to the profile of occupational risk - from 20 to 25 %. The presence of dermatological diseases even with their course without permanent disability significantly affects the quality of life of workers, as evidenced by the high values of dermatological indices EASI from 16.3 to 53.3, DLQI - from 6.2 to 16.8, VAS - from 5.8 to 9.1 points before the start of the treatment. Discussion. The results obtained are in general consistent with the materials of earlier studies that skin and subcutaneous tissue diseases are related to the risk in the workers in the metallurgical industry. Conclusion. Diseases of the skin and subcutaneous fatty tissue in workers of secondary precious metals production are due to the significant value of the etiological share of production factors in their formation and are occupationally conditioned. The proposed complex of hygienic and medico-prophylactic measures, including the additional use of emollients to existing standards of treatment and prevention of allergic dermatoses in workers, provides a reduction in the risk of professionally caused skin diseases.
About the authorsYatsyna Irina V.
Astafieva N.G., Vlasov V.V., Martynov A.A. Development and introduction of the Russian version of the questionnaire “Dermatology Quality of Life (DSQL) for the study of the quality of life of patients with atopic dermatitis. Allergologiya. 2000 (3): 44-6.
Astafyeva N.G., Eremin M.G. Professional and social activity as important characteristics of the quality of life of able-bodied people with skin diseases. Sociologiya mediciny. 2014; 24 (1): 51-9.
Grishaev S.I., Petrov I.M. Ratio of secondary and ore raw materials in the production of non-ferrous metals in Russia. Mineral Resources of Russia. Ekonomika i upravlenie. 2008 (5): 17-22.
Eremina M.G. Change in the main determinants of quality of life in persons of working age with chronic skin diseases. Saratovskij nauchno-medicinskij zhurnal. 2012; 8 (2): 621-6.
Zaitseva N.V, Shur P.Z., Klimenko A.R, Ustinova O.Yu., Lebedeva-Nesevrya N.A., Kostarev V.G. Hygienic Assessment of Risk Factors in Powder Metallurgy Operations. Medicina truda i promyshlennaya ekologiya. 2011 (11): 16-20.
Ivanova N.I., Gorokhova E.A. Innovative dermatological personal protective equipment with inactivators for counteracting the influence of heavy metal salts. Medicina truda i promyshlennaya ekologiya. 2017 (9): 80-2.
Izmerova N.I., Kuzmina L.P., Chistova I.Ya., Ivchenko E.V., Tsidilkovskaya E.S., Kolyaskina M.M., Lazarashvili N.A., Petinati Y.A., Bogacheva N.A., Larkin A.A., Prokhorova I.I. Professional Skin Diseases as a Social and Economic Problem. Medicina truda i promyshlennaya ekologiya. 2013 (7): 28-33.
Izmerova N.I., Petinati Ya.A., Bogacheva N.A. Algorithm for diagnosing profilingergodermatoses. Medicina truda i promyshlennaya ekologiya. 2017 (9): 83-4.
Isaeva D.R., Khaldin A.A. On the differential diagnostics of hyperkeratotic dermatoses of palmar-plantar localization. Klinicheskaya dermatologiya i venerologiya. 2016; 15 (6): 120-6.
Kazanbaev R.T., Prokhorenkov V.I., Yakovleva T.A., Vasilieva E.Yu. Immunological mechanisms of development of allergic dermatoses. Sibirskoe medicinskoe obozrenie. 2013; 82 (4): 9-13.
Karimova L.K., Serebryakov P.V., Shaikhlislamova E.R., Yatsyna I.V. Professional risks of disrupting the health of employees engaged in mining and processing of polymetallic ores. Edited by V.N. Rakitsky, A.B. Bakirova. Ufa-Moscow, 2016. 337 p.
Kosarev VV, Babanov S.A. Professional skin diseases. Sanitarnyj vrach. 2010 (10): 35-40.
Krasavina E.K. Characteristics of the dermatological incidence of workers in a modern industrial enterprise. Zdravoohranenie Rossijskoj Federacii. 2013 (5): 33-4.
Krasavina E.K., Yatsyna I.V., Dracheva E.E., Zhadan I.Yu. Modern technologies in the therapy of professional allergic dermatoses. Zdorov’e i okruzhayushchaya sreda. 2009 (14): 361-7.
Lipatov G.Y., Konstantinov V.G., Adrianovsky V.I., Kim G.L., Sharipova N.P., Samylkin A.A., Yarunin A.V. Hygiene of work and prevention of the morbidity of workers in certain branches of non-ferrous metallurgy. Gigienicheskij vestnik Urala. 2003; 18 (1): 5-14.
Methodical recommendations «Methods of calculating individual occupational risk depending on working conditions and health status of employees» (approved by the Scientific Council 45 «Medical and environmental problems of workers’ health» on 22.06.2011). M. 2012. 29 p.
Moiseeva I.V., Berezhnova T.A. Clinical experience of the application of emollients in the prevention of exacerbations of chronic allergic dermatoses in workers of metallurgical production. Vestnik novyh medicinskih tekhnologij. 2017; 24 (2): 73-8.
Moiseeva I.V., Dorokhina O.V., Berezhnova T.A. Prevention of exacerbations of allergic dermatoses in the conditions of metallurgical production: the clinical experience of the use of emollients. Vestnik novyh medicinskih tekhnologij. Electronic edition. 2018 (3). Publication 3-3. URL: http://www.medtsu.tula.ru/VNMT/Bulletin/E2018-3/3-3.pdf (circulation date: 05/17/2018).
Nikolaeva T.V., Polyakova V.S., Setko N.P., Voronina L.G. Structurally functional reorganization of the skin and its derivatives during experimental subacute intoxication with salts of heavy metals. Gigiena i sanitariya. 2017; 96 (6): 593-6.
On the state of sanitary and epidemiological welfare of the population in the Russian Federation in 2016: State report.- Moscow: Federal Service for Supervision of Consumer Rights Protection and Human Welfare, 2017.-220 p.
Orlov E.V., Mostovaya L.I., Konnov P.E., Arsen’eva A.A. The level of anxiety and dermatological index of quality of life of patients with atopic dermatitis // Journal of Skin and Sexually Transmitted Diseases. 2014. Vol. 17. № 3. Pp. 48-51.
Popov V.I., Klepikov O.V., Endalceva I.A. An assessment of the carcinogenic risk to the health of the population living near metallurgical production. Sistemnyj analiz i upravlenie v biomedicinskih sistemah. 2012; 11 (3): 742-5.
Plotnikov T.A., Nikanov A.N., Petrenko O.D., Syurin S.A. Skin diseases among employees of metallurgical nickel enterprises of the European North. Sanitarnyj vrach. 2011 (7): 24-5.
Popova A.Yu. On the state of working conditions and occupational morbidity in the Russian Federation. Medicina truda i promyshlennaya ekologiya. 2014 (7): 8-10.
Popova A.Yu., Saarkoppel L.M., Serebryakov P.V., Fedina I.N., Yatsyna I.V. Analysis of indicators of occupational morbidity in the Russian Federation. Medicina truda i promyshlennaya ekologiya. 2015 (10): 1-4.
Popova A.Yu., Yatsyn I.V. Professional morbidity in the Russian Federation. hygiene, toxicology, occupational pathology: traditions and modernity. Proceedings of the All-Russian Scientific and Practical Conference with international participation. Edited by Doctor of Medical Sciences, Professor A.Yu. Popova, Academician of the Russian Academy of Sciences, Professor V.N. Rakitsky. 2016. pp. 401-404.
Raznatovsky K.I., Dohov M.A., Yakubova I.Sh., Alikbaev T.Z., Sidorov A.A., Petrova N.N., Ryzhko A.L., Krutikova N.N., Ermolaev-Makovsky M.A. Analysis of diseases of the skin and subcutaneous tissue in workers according to the results of preventive examinations. Gigiena i sanitariya. 2017; 96 (4): 371-6.
Serebryakov P.V., Kartashev O.I., Fedina I.N., Yatsyna I.V. State of health of employees of the non-ferrous metallurgy enterprise // Problems of diagnostics and correction of environmental-dependent disorders and occupational pathology. Materials of the Republican scientific and practical conference with international participation dedicated to the 100th anniversary of the first director of the National Center for Occupational Health and Occupational Diseases, Ministry of Health of the Republic of Kazakhstan Z. Tulegenova. and the 75th anniversary of Academician Kulkibaev G.A. 2015: 486- 9.
Ushakova O.V. Analysis of the incidence of occupational dermatoses in the Irkutsk region. Acta Biomedica Scientifica. 2012. №2-2 (84). Pp. 99-101.
Khismatullina Z.R., Pechkurov D.V., Zainullina O.N. Quality of life and compliance in patients with atopic dermatitis. Yuzhno-Ural’skij medicinskij zhurnal. 2016 (4): 10-2.
Yatsyna I.V., Moiseeva I.V., Berezhnova T.A. Efficacy of the use of barrier and losterin in external therapy of palmar dermatitis keratodermia in workers of the metallurgical plant. Vestnik Volgogradskogo gosudarstvennogo medicinskogo universiteta. 2016; 57 (1): 129-31.
Haeck I.M., ten Berge O., van Velsen S.G. [et al.] Moderate correlation between quality of life and disease activity in adult patients with atopic dermatitis. J.Eur. Acad. Dermatol. Venereol. 2012; 26 (2): 236-41.
Heller M.M., Wong J.W., Nguye T.V. Quality-of-life instruments: evaluation of the impact of psoriasis on patients. Dermatol. Clin. 2012; 30 (2): 281-91.
Rehal B., Armstrong A.W. Health outcome measures in atopic dermatitis: a systematic review of trends in disease severity and quality-of-life instruments 1985-2010. PLoS One. 2011; 6 (4).
Zielinski C.E., Zuberbier T., Maurer M. Immunoregulation in cutaneous allergy: prevention and control. Curr. Opin. Allergy. Clin. Immunol. 2012; 12 (5): 498-503.
- Refbacks are not listed
Контент доступен под лицензией Creative Commons Attribution 3.0 License.